Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW JOSEPH FAVA, PSY.D, MFT
Active Sole ProprietorMATTHEW JOSEPH FAVA, PSY.D, MFT is a Marriage & Family Therapist healthcare provider located in LODI, California. NPI 1881950624 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · LODI, CA
Registration Details
- NPI Number
- 1881950624
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2012 (14.366326052896 yrs)
- Last Updated
- Apr 5, 2012
- License
-
47392 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
404 W PINE STSUTIE 1LODI, CA, 952402048Browse CA providers · Browse ZIP 95240
- Phone
- 2097699554
- Fax
- 2094350894
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in LODI, CA
| Name | Credential | NPI |
|---|---|---|
| MR. KEITH DANIEL MCCANN | LMFT | 1609985712 |
| MR. VICTOR CHARLES KOCH JR. | MFT | 1477662393 |
| MRS. KATHARINE CAGLE BRYDA | LMFT | 1780796011 |
| JULIE L. YEE | MFT | 1104937689 |
| MR. JOHN BRIAN FORD | MFTI | 1033212543 |
| MRS. LYNN ANE COOK | — | 1457450991 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.